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2007-P11175 - sewer/water permit
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3180 North Shore Drive - 09-117-23-32-0009
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2007-P11175 - sewer/water permit
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Last modified
8/22/2023 5:49:53 PM
Creation date
10/31/2017 11:22:29 AM
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x Address Old
House Number
3180
Street Name
North Shore
Street Type
Drive
Address
3180 North Shore Dr
Document Type
Permits/Inspections
PIN
0911723320009
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Updated
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DETERMINING PERMIT FEES <br /> � SAC Charge(2007 Rate=$1,675.00) $ <br /> (SAC Charge must accompany all sewer permit applications unless prepaid) <br /> (Orono City Staff can determine if applicable) <br /> (If not prepaid,a sewer connection permit will not be issued) <br /> �cc <br /> �-Sewer Connection Disconnect Repair($35.00/Per Stub) $ ;3�� <br /> Pipe size inches;mater�al Schd 40 air tested; � cast iron <br /> ❑Water Connection/Disconnect/Repair($35.00/Per Stub) $ <br /> Pipe size inches;material Schd 40 air tested; � copper <br /> 1. SUBTOTAL of Permit Requested: $ <br /> 2. STATE SURCNARGE $ .50 <br /> 3. POSTAGE&f-IANDLING(Only on Mail-In Applications) $ ��- <br /> r � <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ,�J <br /> ADDITIONAL 1NFORMATION-WATER METERS <br /> ■ WATER METERS must be picked up and paid for at Orono City Hall,these are on a separate permit. <br /> ■ WATER METERS must be set and sealed by Orono Water Department (952) 249-4600, upon <br /> completion of ineter installation. <br /> The undersigned hereby applies to the City of Orono for issuance of a Utility Permit, agrees to do <br /> all work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, a � ies�t�at� ents made on this application are,true and correct. <br /> � <br /> Applicant: '�G� Date: � c�7�� � <br /> Reset Form <br />
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